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Table 4 Reasons for increases in service utilization in SOA districts

From: Internal contracting of health services in Cambodia: drivers for change and lessons learned after a decade of external contracting

Key informants

Health managers and providers

Public have more trust in the SOA facilities

Improved public trust in health facilities – provide better quality of care (improved staff attitude and better treatment)

Facilities are now open for 24 h per day

Staff being available 24 h per day

Staff are more punctual and stay at facilities because of incentives attached to punctuality and availability of services

Outreach programmes have increased community awareness of the availability of and need for services

Staff have received more training since being in SOA and this has improved the services that they deliver

Clear contracts with targets for provision of services, incentives and monitoring in the SOA scheme

 

Low service fees because of HEF and CBHI